EVA'S VILLAGE, INC.


Address: 20 Jackson Street, Paterson, NJ 07501-2815
Phone: 9735236220

EVA'S VILLAGE, INC. (NPI# 1811460165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811460165
Entity Type Organization
Organization Name EVA'S VILLAGE, INC.
Practice Address 20 Jackson Street
Paterson
NJ 07501-2815
Mailing Address 393 Main St
Paterson
NJ 07501-2815
Practice Telephone 9735236220
Practice Fax Number 9738257297
Mailing Telephone 9735236220
Mailing Fax Number 9738257297
Enumeration Date 2019-01-09
Last Update Date 2019-01-09
Authorized Official Name VITO ANDRISANI (EXECUTIVE VICE PRESIDENT)
Authorized Official Telephone 9735236220
Authorized Official Credential LCADC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427477272 Eva's Village, Inc. Clinic/Center 16 Spring St, Paterson, NJ 07501-2823 2014-04-09
1033511217 Eva's Village, Inc. Clinic/Center 16 Spring St, Paterson, NJ 07501-2823 2014-09-19
1942615257 Eva's Village, Inc. Community/Behavioral Health 16 Spring St, Paterson, NJ 07501-2823 2014-06-25
1215356910 Eva's Village, Inc. Substance Abuse Rehabilitation Facility 16 Spring St, Paterson, NJ 07501-2823 2014-04-09
1124447826 Eva's Village, Inc. Substance Abuse Rehabilitation Facility 25 Jackson St, Paterson, NJ 07501-2813 2014-04-09
1699018242 Eva's Village, Inc. Clinic/Center 393 Main St, Paterson, NJ 07501-2815 2013-04-02

Office Location

Street Address 20 JACKSON STREET
City PATERSON
State NJ
Zip Code 07501-2815

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1639508187 Maryanne Bolton Nurse Practitioner 393 Main Street, Paterson, NJ 07501 2013-11-05
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427477272 Eva's Village, Inc. Clinic/Center 16 Spring St, Paterson, NJ 07501-2823 2014-04-09
1063873453 Options Counseling, Inc Clinic/Center 9 W Broadway, 3rd Floor, Paterson, NJ 07505-1014 2016-03-11
1134523632 Turning Point Inc Clinic/Center 680 Broadway, Suite 104, Paterson, NJ 07514-1524 2014-10-14
1609036847 Options, Inc. Clinic/Center 9 W Broadway, Paterson, NJ 07505-1014 2008-06-11

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Competitor

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City PATERSON
Zip Code 07501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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